Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 21040 | CA |
NPI | 1003195603 |
---|---|
Provider Name | Michalle Gonzalez Ramirez-Mclaughlin |
First Address | San Francisco, CA 94143-2218 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2011 |
Last Update Date | 17/03/2018 |